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Community Care Facilities Licensing
FACILITY INSPECTION REPORT
HEALTH & SAFETY
ABEY-B5FSBE

FACILITY NAME
Lil' Saints Preschool at Sacred Heart
SERVICE TYPES
303 Preschool (30 months to school age)
FACILITY LICENSE #
PNEL-8CVM6T
FACILITY ADDRESS
3900 Arthur Dr
FACILITY PHONE
(604) 946-4525
CITY
Delta
POSTAL CODE
V4K 3N5
MANAGER
Mylene Lock

INSPECTION DATE
October 11, 2018
ADDITIONAL INSP. DATE (multi-day)
ADDITIONAL INSP. DATE (multi-day)
TIME SPENT (HRS.)
1.5
ARRIVAL
01:00 PM
DEPARTURE
02:30 PM
ARRIVAL
DEPARTURE
ARRIVAL
DEPARTURE
INSPECTION TYPE
Routine
# CHILDREN ENROLLED
32

Introduction

An unscheduled routine inspection was conducted to assess compliance with the Community Care & Assisted Living Act (CCALA), the Child Care Licensing Regulation (CCLR) and the relevant Director of Licensing Standards of Practice (DLP). Evidence for this report was based on the licensing Officers observations, review of the facility records and information provided by the facility staff at the time of inspection.
The following areas were reviewed: Licensing, Physical Facility, Staffing, Policies & Procedures, Care & Supervision, Hygiene and Communicable Disease Control, Medication, Nutrition and Food Services, Programming, Records and Reporting
As part of the Routine Inspection a Facility Risk Assessment is completed and a copy is provided. The Risk Assessment includes non-compliance identified during the routine inspection and a 3 year “historical” review of the facility’s compliance and operation.
Visit the CCFL website at https://www.fraserhealth.ca/health-info/health-topics/child-care/ for additional resources and links to the legislation (CCALA & CCLR).

Contraventions
Previous Inspection -
Current Inspection - Items reviewed comply with the Act, regulations & standards of practice except for those noted on supplementary pages.

Observed Violations
STAFFING: 12090 - CCLR s.19(1)(f) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation: A review of 4 staff files showed that 2 are missing immunization records.
Corrective Action(s): Ensure staff files are complete.
Date to be Corrected: 15-Nov-2018

STAFFING: 12140 - CCLR s.19(4)(a) - A licensee must not employ a person in a community care facility as (a) an educator or an assistant unless the person holds a certificate issued under Division 2 [Employee Qualifications], which must be verified by the licensee using a system established and maintained by the director of the early childhood educator registry,
Observation: A review of 4 staff files showed that 2 are missing verification records.
Corrective Action(s): Ensure staff records are complete.
Date to be Corrected: 15-Nov-2018

RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: A random review of children's records shows that 2 are missing record of a medical pracitioner.
Corrective Action(s): Ensure children's records are complete.
Date to be Corrected: 15-Nov-2018


Comments

Discussions were had around:
· Active Supervision – this includes scanning and counting, setting up the environment, anticipating children’s behaviours and abilities, positioning yourself and listening. The manager stated that children are continually supervised during washroom use. The manager stated that children are counted frequently and during transitions. A supervision policy is in place.
· Flushing taps to reduce lead (older facilities). One way to reduce lead in drinking water is to flush all water taps used for drinking water or food preparation at the start of each day or after periods of stagnation. The children bring their own water bottles and a Brita is used. More information can be found at https://www.fraserhealth.ca/health-info/health-topics/drinking-water/.
· Serious Incident reporting - contact Licensing. Ensure you have notified Licensing within 24 hours. If you cannot reach your Licensing Officer, please contact the Duty Line at 604-587-3936.
Raking playground wood chips to ensure a safe amount of resilient surfacing.
Licensing observed the children engaged in a wide variety of materials that meet all areas and levels of development including sensorial play, open ended art, a science table, fine motor manipulatives, natural wooden blocks, play doh, cars and dramatic play. The teachers were seen to provide positive guidance, get down to the children's level, guide conflict resolution and facilitate smooth transitions.
Thank you for your assistance with this inspection.

Action Required by Licensee/ManagerAction Required by Licensing Staff
No action requiredNo action required

Click here for FAQ About Inspections.
Click here for a description of each "Category" of violation displayed.